C10016202 / invoice 10000

Appointment Reason: Ear Issues, Appointment Notes: ?cz AN:  Called O if can be moved from 9.10 to 9.00am.  CG????SUMMARY* Recheck consult for otitis externa following two weeks of treatment with Surolan; owner reports resolution of clinical signs.* Resolved otitis externa confirmed on clinical examination and repeat ear cytology.* Plan is to discontinue Surolan and restart Cortavance twice weekly for maintenance, with a recheck in six months for medication re-authorisation.HISTORY* Recheck following diagnosis of otitis externa two weeks prior.* O reports ears appear clear with no discharge and has been compliant with Surolan administration.* Previous consult for different ear issues five months ago.* Vaccinated five months ago.* EDDU normal, no CSVD, BAR at home.* O has no other concerns.EXAM* Demeanour: BAR; friendly* Body condition score: 5/9* Mucous membranes: moist, pink, CRT < 2sec* Teeth: grade 1/4 perio* Eyes: clear, no signs of conjunctivitis, pupils symmetrical and normal size* Ears: Canals appear clean and non-erythematous. No discharge visible.* Head/nose/neck: appear normal, no lesions or nasal discharge observed* Heart: heart rate is normal, regular rhythm, synchronous pulses, no murmur detected* Lungs: respiratory rate and effort are normal, clear lung sounds all fields, no crackles/wheezes heard* Abdomen: abdominal palpation normal, no pain or obvious masses identified* Coat & skin: no unusual masses noted, normal skin tent. No evidence of hair loss, itching, sores or parasites* Ambulation & MSK: normal ambulation in consult and no obvious lameness. * Lymph nodes: all palpable LNs are WNLCYTOLOGYboth ears NSFASSESSMENT* Resolved otitis externa.* History of recurrent otitis.PLAN* Discontinue Surolan ear drops.* Restart Cortavance ear drops from Monday, apply to both ears twice weekly ongoing for maintenance (AN AUTH rpt cortavance/imaverol <6m)* Recheck in six months required for ongoing medication authorisation.CLIENT COMMUNCIATION* Discussed the importance of ongoing maintenance therapy to prevent recurrence of otitis.* Explained Cortavance is to be used twice weekly.* Advised that a veterinary consultation is required every six months to legally re-authorise medication.* Advised to monitor ears and contact the clinic if any concerns arise.?08/03/2026 9:31:34 AM RA: Follow up sms sent?    Vital Signs    Weight: 11.6;